Medicaid

Michigan’s Medicaid program is a vital part of the state’s healthcare system, providing essential coverage across all stages of life and serving as the largest payer for long-term care, maternity care, mental health services and support for vulnerable populations.

Medicaid is a cornerstone of Michigan’s healthcare system and keeps people healthy at every stage of life. Medicaid is the single largest payer for long-term care, maternity care and mental health services. It helps those fighting cancer, seniors in nursing homes, veterans and children.

Michigan Medicaid expansion is known as the Healthy Michigan Plan, which has been hailed as a success for improving access to care, reducing the uninsured rate and supporting economic stability for families across the state. It has saved lives, kept hospitals open and improved the overall well-being of countless individuals.

With healthcare as the largest private-sector employer in Michigan, and Medicaid funding supports thousands of jobs across the state.

Certain adults with Medicaid health insurance coverage must work, volunteer, attend school or complete another approved activity beginning Jan. 1, 2027 to maintain their Medicaid health insurance.

These new requirements, often referred to as “Medicaid work requirements,” only apply to people between the ages of 19 and 64 who have Medicaid coverage known as the Healthy Michigan Plan (HMP).

Many people with HMP insurance may already be meeting the new requirements through work, school or other activities. Others may qualify for an exemption, such as those who are pregnant, a parent or caregiver of a child 13 or younger, or already subject to work requirements for food (SNAP) or cash (TANF) benefits.

For more details, visit the Michigan Department of Health and Human Services webpage for information about:

• Who must meet work requirements
• How to meet work requirements
• Who is exempt
• Frequently asked questions
• Resources for community partners
• Provider information

MHA members with questions should contact the MHA Health Finance team.

The Healthy Michigan Plan launched April 2014 and provides over one million working Michiganders with comprehensive, affordable health insurance. The MHA and its members have worked to support the adoption and continuation of this program, as well as look for ways to improve access to high-quality care for its beneficiaries.

Here are some key facts about the Healthy Michigan Plan:

• It covers adult residents of Michigan who are otherwise uninsured and who have an annual income of at or below 138% of the federal poverty level.
• Enrollment is always open, and is available via an online application or by contacting a qualified enrollment office.
• Enrollees of a certain income level must pay small premiums and copays for certain services.

Providers and potential enrollees who need more information should visit the State of Michigan’s Healthy Michigan Plan website.

Phone: (517) 323-3443
Fax: (517) 323-0946

Phone: (517) 703-8601
Fax: (517) 703-0628